FEC FORM 1
STATEMENT OF ORGANIZATION
FILING FEC-439773
1. King Pharmaceuticals, Inc. Political Action Committee
501 Fifth StreetBristol, TN 37620
Email: KingPAC@kingpharm.com
NOTE: Email address is different than previously reported
2. Date: 11/11/2009
3. FEC Committee ID #: C00467829 This committee is a separate segregated fund. Its connected organization is a CorporationAffiliated Committees/Organizations
King Pharmaceuticals, Inc.501 Fifth Street
Bristol, Tennessee 37620
Affiliated Relationship Code: Connected Organization
Custodian of Records:
Frederick Brouillette, Jr.501 Fifth Street
Bristol, TN 37620
Title: Treasurer
Phone # (423) 989-8751
Treasurer:
Frederick Brouillette, Jr.501 5th Street
Bristol, Tennessee 37620
Title: Treasurer
Phone # (423) 989-8751
Designated Agent(s):
Brett A. Burrell501 Fifth Street
Bristol, Tennessee 37620
Title: Assistant Treasurer
Phone # (423) 989-8712
Banks or Depositories
Bank of America1143 Volunteer Parkway
Bristol, Tennessee 37620